TIFFANY COLLETTA (NPI# 1942722459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942722459 |
| Entity Type | Individual |
| Full Name | TIFFANY COLLETTA |
| Credential | MSW, LMSW |
| Practice Address |
100 Hospital Dr Lebanon MO 65536-9210 |
| Mailing Address |
1836 Jaden Ct Lebanon MO 65536-4107 |
| Practice Telephone | 4175336100 |
| Mailing Telephone | 5732029227 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 2017017827 | MO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2200 E State Highway D, Springfield, MO 65804 | 4175512436 |
| Street Address |
100 HOSPITAL DR |
| City | LEBANON |
| State | MO |
| Zip Code | 65536-9210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051846 | Janice A Shore | Nurse Anesthetist, Certified Registered | 100 Hospital Dr, Lebanon, MO 65536-9210 | 2005-05-31 |
| 1952913477 | Emily Adams | Dietitian, Registered | 100 Hospital Dr, Lebanon, MO 65536-9210 | 2020-08-17 |
| 1346862315 | Kelly Riechers | Registered Nurse | 100 Hospital Dr, Lebanon, MO 65536-9210 | 2020-05-13 |
| 1699319533 | Isabella Christina Brown | Dietitian, Registered | 100 Hospital Dr, Lebanon, MO 65536-9210 | 2019-11-04 |
| 1295399624 | Coe Allen Rose | Physical Therapist | 100 Hospital Dr, Lebanon, MO 65536-9210 | 2019-05-01 |
| 1891250437 | Myria Marlene Boyer | Physician Assistant | 100 Hospital Dr, Lebanon, MO 65536-9210 | 2019-02-07 |
| 1386130888 | Paige A Williams | Nurse Anesthetist, Certified Registered | 100 Hospital Dr, Lebanon, MO 65536-9210 | 2018-07-08 |
| 1629588827 | Patricia Kiersey | Nurse Anesthetist, Certified Registered | 100 Hospital Dr, Lebanon, MO 65536-9210 | 2017-10-03 |
| 1578016929 | Desiree Calbert | Nurse Anesthetist, Certified Registered | 100 Hospital Dr, Lebanon, MO 65536-9210 | 2016-08-02 |
| 1447673132 | Matthew Benedict | Physician Assistant | 100 Hospital Dr, Lebanon, MO 65536-9210 | 2014-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537307 | Cathy Jane Greenlee | Nurse Practitioner | 510 Hwy 32, Lebanon, MO 65536 | 2018-08-10 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1447629399 | Danielle Craig | Speech-Language Pathologist | 1200 Clark Ave, Lebanon, MO 65536 | 2015-09-22 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1194163840 | Laura Patton | Speech-Language Pathologist | 22864 Perimeter Drive, Lebanon, MO 65536 | 2013-06-04 |
| 1750588273 | Elaine Britzman | Registered Nurse | 874 S Jefferson St, Lebanon, MO 65536 | 2007-06-28 |
| 1538363486 | Laclede Co. Assoc. for Retarded Citizens | Respite Care | 200 Lawson Ave., Lebanon, MO 65536 | 2007-06-13 |
| 1568665768 | Fern M Klein | Registered Nurse | 874 S Jefferson, Lebanon, MO 65536 | 2007-06-06 |
| 1639201080 | Laclede County Assoc. for Retarded Citizens | Day Training, Developmentally Disabled Services | 200 Lawson Avenue, Lebanon, MO 65536 | 2007-03-12 |
| 1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
| Find all providers in zip 65536 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265948624 | Hannah Elizabeth Rolf | Social Worker | 713 Holbrook Ave Apt A, Lebanon, OH 45036-2094 | 2017-12-21 |
| 1285176032 | Leah Michelle Sandlin | Social Worker | 218 S Mechanic St, Lebanon, OH 45036-2212 | 2016-11-10 |
| 1275902686 | Robbie Hayter | Social Worker | 3317 Franklin Rd, Lebanon, TN 37090-8065 | 2015-09-16 |
| 1487040044 | Jenny L Essex | Social Worker | 1614 N. Lebanon St., Integrative Wellness, LLC, Lebanon, IN 46052 | 2015-04-10 |
| 1053721522 | Kimberly Dawn Sellers | Social Worker | 212 N Broadway St, Suite 7, Lebanon, OH 45036-2736 | 2014-05-05 |
| 1760821276 | Whitney Renee Rojas | Social Worker | 125 Lakeshore Dr., Lebanon, IN 46052-3100 | 2013-06-18 |
| 1609147610 | Abbey Endicott | Social Worker | 387 Locust Forge Ln, Lebanon, OH 45036-7604 | 2012-01-23 |
| 1306120480 | Melissa Kay Molter | Social Worker | 727 W Washington St, Lebanon, IN 46052-2064 | 2011-10-06 |
| 1861650798 | Whitney T Brown | Social Worker | 1614 N Lebanon St Ste 2, Lebanon, IN 46052-1514 | 2008-05-28 |
| 1447417134 | Nikki K Barnes | Social Worker | 515 W Camp St, Lebanon, IN 46052-1648 | 2008-05-20 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.